Donation Form

Pontiac Bay Symphony Orchestra – Donation Form

Pontiac Bay Symphony Orchestra is a tax-exempt, 501(c)3 nonprofit that was formed
to provide an orchestra performance and mentoring opportunity for youth, ages 12 and older

Pontiac Bay was also formed to provide ongoing concert performances
of music from Film, Theater, and Television

Your Donation is Greatly Appreciated and Fully Tax Deductible

Name_________________________________________________________ Date______________

In Recognition Of ____________________________________ Donation Amount $_____________

Your contribution will be acknowledged by letter. If you have any questions or
would like more information, please call 206-364-0907 or send us an email.

Thank you very much for your support

Return bottom half of form – Keep upper half of form for your records – Please Print

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Name_________________________________________________________ Date_______________

Address/City/Zip ___________________________________________________________________

Phone (in case there is a question about your information)

In Recognition Of ________________________________________ Donation Amount $__________

Employer Matching Gift

Many employers, such as Microsoft and Boeing, match employee donations to a 501(c)3 nonprofit.
This only requires that the employee send us the Matching Gift form used by their employer. If you
would like to do this, call 206-364-0907 or send us an email.

Thank you very much for your support. Your donation will be acknowledged with a letter.

Please Mail Donation and Form To:

Pontiac Bay Symphony Orchestra, P.O. Box 27307, Seattle, WA 98165-1807